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深入探究差异:健康素养对乳腺癌患者手术治疗的影响。

Delving deeper into disparity: The impact of health literacy on the surgical care of breast cancer patients.

作者信息

Portelli Tremont Jaclyn N, Downs-Canner Stephanie, Maduekwe Ugwuji

机构信息

University of North Carolina at Chapel Hill, Department of Surgery, Division of Surgical Oncology, 170Manning Drive, CB #7213, 1150 Physicians Office Bldg., Chapel Hill, NC, 27599-7213, USA.

出版信息

Am J Surg. 2020 Oct;220(4):806-810. doi: 10.1016/j.amjsurg.2020.05.009. Epub 2020 May 12.

DOI:10.1016/j.amjsurg.2020.05.009
PMID:32444064
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7541468/
Abstract

BACKGROUND

Breast surgical oncology is a unique field that involves complex cancer management and longstanding patient interactions with the healthcare system, making it potentially challenging for patients with low health literacy. The purpose of this review is to summarize the current knowledge regarding health literacy in breast cancer and identify future directions for research and potential intervention in breast surgical oncology.

DATA SOURCES

A search of relevant literature querying PubMed and Science Direct was performed and included the following keywords: health literacy, breast cancer, breast surgical oncology, surgery, outcomes, prevention, screening, healthcare utilization, chronic disease.

CONCLUSIONS

Limited health literacy may detrimentally affect understanding and outcomes in breast surgical oncology. Identifying ways providers can improve patient understanding and utilization of health information is important, and surgeons may have a pivotal role. Further studies addressing health literacy in breast surgical oncology is needed in order to better optimize care of patients.

摘要

背景

乳腺外科肿瘤学是一个独特的领域,涉及复杂的癌症管理以及患者与医疗系统的长期互动,这使得健康素养较低的患者可能面临挑战。本综述的目的是总结当前关于乳腺癌健康素养的知识,并确定乳腺外科肿瘤学未来的研究方向以及潜在的干预措施。

数据来源

对PubMed和ScienceDirect进行了相关文献检索,检索词包括:健康素养、乳腺癌、乳腺外科肿瘤学、手术、结局、预防、筛查、医疗保健利用、慢性病。

结论

健康素养有限可能会对乳腺外科肿瘤学中的理解和结局产生不利影响。确定医疗服务提供者改善患者对健康信息的理解和利用的方法很重要,外科医生可能起着关键作用。需要进一步开展关于乳腺外科肿瘤学健康素养的研究,以便更好地优化患者护理。

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本文引用的文献

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Health Literacy Is an Independent Predictor of Cancer Patients' Hospitalizations.健康素养是癌症患者住院治疗的独立预测因素。
Health Lit Res Pract. 2017 Oct 10;1(4):e153-e162. doi: 10.3928/24748307-20170808-01. eCollection 2017 Oct.
2
Multidisciplinary care of breast cancer patients: a scoping review of multidisciplinary styles, processes, and outcomes.乳腺癌患者的多学科护理:多学科模式、流程和结果的范围综述。
Curr Oncol. 2019 Jun;26(3):e385-e397. doi: 10.3747/co.26.4713. Epub 2019 Jun 1.
3
The association between cancer care coordination and quality of life is stronger for breast cancer patients with lower health literacy: A Greater Plains Collaborative study.癌症护理协调与生活质量之间的关联对于健康素养较低的乳腺癌患者更强:大平原协作研究。
Support Care Cancer. 2020 Feb;28(2):887-895. doi: 10.1007/s00520-019-04894-y. Epub 2019 Jun 5.
4
Health literacy and patient participation in multidisciplinary tumor conferences in breast cancer care: a multilevel modeling approach.健康素养与乳腺癌多学科肿瘤会议中的患者参与:多层次建模方法。
BMC Cancer. 2019 Apr 8;19(1):330. doi: 10.1186/s12885-019-5546-z.
5
Health Literacy and Health Outcomes in Persons Living with HIV Disease: A Systematic Review.艾滋病毒感染者的健康素养与健康结局:系统评价。
AIDS Behav. 2019 Nov;23(11):3024-3043. doi: 10.1007/s10461-019-02432-9.
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Association Between Health Insurance Literacy and Avoidance of Health Care Services Owing to Cost.健康保险素养与因费用而避免医疗服务之间的关联。
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